Hawaii Employer-Union Health Benefits Trust Fund

EVENT DESCRIPTION: Employee may terminate coverage for spouse and step-children.

WHEN EC-1/EC-1H MUST BE SUBMITTED TO EMPLOYER (Personnel Office): Within 45 days from date of legal separation.

DOCUMENTATION REQUIRED TO BE ATTACHED TO EC-1/EC-1H: Court documents establishing legal separation along with the signature page within 45 days from separation date.

EFFECTIVE DATE: If submitted within 60 days, coverage ends the first day of the 1st pay period following the legal separation. If submitted more than 60 days, coverage ends prospectively the first day of the 1st pay period following EUTF’s receipt of the EC-1/EC-1H form.

CHANGES ALLOWED TO PLANS?: No